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带教方案对新入职护士离职意愿、工作投入和工作满意度的影响:准实验研究。

The effects of a preceptorship program on newcomer nurses' turnover intention, commitment and job satisfaction: Quasi-experimental study.

机构信息

Nursing Faculty, Nursing Management Department, Health Sciences Institute, Dokuz Eylül University Narlıdere, İzmir, Turkey.

President of the Association for Evaluation and Accreditation of Nursing Education Programs, İzmir, Turkey.

出版信息

Nurse Educ Pract. 2022 Aug;63:103358. doi: 10.1016/j.nepr.2022.103358. Epub 2022 May 11.

Abstract

AIM

The aim of the present study was to examine the effect of an organizational socialization model-based preceptorship program on the organizational outcomes of newcomer nurses.

BACKGROUND

Preceptorship programs need to be strengthened to ensure the organizational socialization of newcomer nurses.

DESIGN

This study was conducted with a one group pretest-posttest design.

METHODS

The sample consist of newcomer nurses from the university hospital of İzmir (N = 56) in Turkey. Data were collected using scales on turnover intention, professional and organizational commitment and job satisfaction. The dependent t-test was used for data analyses.

RESULTS

The newcomer nurses' intention to leave their unit and profession, organizational and professional continuance commitment, professional normative commitment and job satisfaction levels were similar at the end of the one-year preceptorship program compared with the baseline (p > .05). It was also determined that the participants' intention to leave the organization increased (t = -4.153, p < .001), while their affective (t = 4.443, p < .001) and normative commitment to the organization (t = 3.443, p < .001) and their professional affective commitment decreased (t = 7.390, p < .001) by the end of the program.

CONCLUSIONS

The organizational socialization model has the potential to be used as an effective framework to improve the organizational outcomes of new graduate nurses. Although organizational socialization meets some dimensions of institutional and professional needs of newcomer nurses in the first year, there is still a need to use different strategies and enrich organizational socialization to support their adaptation process.

摘要

目的

本研究旨在检验基于组织社会化模型的导师制计划对新护士组织结果的影响。

背景

需要加强导师制计划,以确保新护士的组织社会化。

设计

本研究采用单组前后测设计进行。

方法

样本包括来自土耳其伊兹密尔大学医院的新护士(N=56)。使用离职意愿、职业和组织承诺以及工作满意度量表收集数据。采用独立样本 t 检验进行数据分析。

结果

与基线相比,新护士在为期一年的导师制计划结束时离开其单位和职业的意愿、组织和职业持续承诺、职业规范承诺和工作满意度水平相似(p>.05)。还确定参与者离开组织的意愿增加(t=-4.153,p<.001),而他们对组织的情感(t=4.443,p<.001)和规范承诺以及他们的职业情感承诺下降(t=7.390,p<.001)。

结论

组织社会化模型有可能成为提高新毕业护士组织结果的有效框架。尽管在第一年,组织社会化满足了新护士的一些机构和专业需求维度,但仍需要使用不同的策略和丰富组织社会化以支持他们的适应过程。

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